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Neutrophil elastase inhibitor attenuates lipopolysaccharide-induced hepatic microvascular dysfunction in mice

Ken-Ichiro Ishii1, Yoshiya Ito, Hiroyuki Katagiri

  • 1Department of Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.

Shock (Augusta, Ga.)
|August 9, 2002
PubMed

Insights

Neutrophil elastase worsens liver injury caused by lipopolysaccharide (LPS). Inhibiting neutrophil elastase reduces this LPS-induced hepatic microvascular dysfunction and liver damage by lowering inflammatory cytokines.

Area of Science:

  • Hepatology
  • Immunology
  • Microcirculation Research

Background:

  • Lipopolysaccharide (LPS) triggers hepatic microvascular injury.
  • Neutrophil elastase (NE) is implicated in inflammatory responses.
  • Understanding NE's role in LPS-induced liver injury is crucial.

Purpose of the Study:

  • To investigate the role of neutrophil elastase in lipopolysaccharide (LPS)-induced hepatic microvascular injury.
  • To evaluate the efficacy of neutrophil elastase inhibitors in mitigating LPS-induced liver damage.

Main Methods:

  • In vivo microscopy was used to assess hepatic microcirculation in mice.
  • LPS was administered intravenously to induce liver injury.
  • Neutrophil elastase inhibitors (ONO-5046, FK706) were administered to evaluate their protective effects.

Main Results:

  • LPS injection caused significant hepatic microcirculatory dysfunction, increased alanine aminotransferase (ALT) levels, and elevated pro-inflammatory cytokines (TNF-alpha, IL-1beta).
  • Neutrophil elastase inhibitors dose-dependently attenuated LPS-induced microcirculatory dysfunction and liver injury.
  • Inhibitors reduced ALT levels and suppressed TNF-alpha and IL-1beta production, also mitigating injury mediated by these cytokines and by NE itself.

Conclusions:

  • Neutrophil elastase exacerbates LPS-induced hepatic microvascular dysfunction.
  • Neutrophil elastase inhibitors offer a therapeutic strategy by reducing inflammatory cytokine production and mitigating microvascular injury in the liver.
  • Targeting neutrophil elastase is a promising approach for managing LPS-induced liver injury.

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